Before the COVID‐19 pandemic that began in 2019, people were increasingly mobile and cheap air travel meant that millions of people rapidly moved between countries for leisure and business. In addition, large numbers of people moved long distances as economic migrants and political refugees. The COVID‐19 pandemic brought much of this movement to a sudden halt, and at the time of writing, it was uncertain when and to what extent mass movements will return. Anyone who moves to a new environment becomes exposed to diseases to which they have no previous experience, and hence immunity. They are therefore vulnerable to infection. Similarly, those who are already infected (but may not be aware of the fact) carry their diseases with them and could potentially transmit their infections to a non‐immune population on arrival. Obviously, when many people are moving there are many opportunities for disease transmission. For domestic animals, it is possible to instigate legislation that governs their movement. For example, a passport scheme can ensure that they have received appropriate vaccinations and/or drugs to remove infections. Similarly, a period of quarantine upon arrival at their destination can be imposed. Except in very authoritarian regimes, this is seldom feasible as a long‐term solution for human populations. Although some countries closed their borders and/or imposed strict quarantines on people during the COVID‐19 pandemic, this approach cannot be sustained for any length of time because of the economic consequences. Some countries insist that all persons entering their borders have documentation proving they have received certain vaccinations, such as for yellow fever. However, there are few anti‐parasite vaccines and even where effective prophylactic medicines are available to treat parasites, such as anti‐malarial drugs, it is notoriously difficult to persuade people to take them as prescribed.
Another of the major reasons why parasites remain a problem is the lack of suitable drugs and vaccines to treat them. The development of drugs for use in human medicine takes many years and is extremely expensive. Consequently, the drug companies need to be sure that they will obtain a good rate of return for their investments. See Chapter 14 for more information on the treatment of parasitic diseases. Unfortunately, those who suffer most severely from parasitic diseases are usually poor and cannot afford expensive drugs. Similarly, the development of anti‐parasite vaccines is hampered by a combination of cost and the difficulty of generating protective immunity against parasitic infections. These issues are dealt with in detail in Chapter 15.
The control of parasites by targeting their vectors/intermediate hosts is also becoming more problematic. For many years, this approach proved highly effective, and in the 1950s, it was even believed possible that malaria might be eradicated by killing the anopheline mosquito vectors. However, some vectors are exhibiting increasing resistance against a wide range of insecticides and new chemicals are not being developed to replace those in current use. Furthermore, there are mounting concerns for the environmental damage that can result from inappropriate use of insecticides and fears over risks they pose to our health.
2 Taxonomy
CONTENTS
2.2 Viruses: A Special (Unresolved) Case
2.1 Introduction
In this chapter, we will provide a very brief introduction to the study of taxonomy. Correct diagnosis is essential for treatment and control of any disease and that requires consensus on the names and terms used in the identification process. Without it, there cannot be effective communication between workers both within and between countries. For example, even within a country, a disease or organism may be known by various common names, and language differences further complicate communication. Therefore, before we begin to consider specific parasites, it is necessary to understand of how the taxonomic system works and its relevance to parasitology.
Those who study the identification of organisms are called taxonomists, and they arrange organisms into a hierarchy of categories to demonstrate their relationship to one another. Phylogeny is the study of the evolutionary relationships between organisms. This is increasingly informed by comparisons of gene sequences in a process called molecular phylogeny in which phylogenetic trees are generated to represent the closeness of relationships.
The Ancient Greek philosopher Heraclitus of Ephesus is accredited with the well‐known saying that ‘All is flux. Nothing stays still’. This is certainly true of taxonomy, and frequent name changes and taxonomic re‐arrangements will be a constant refrain throughout this book. One needs to be aware of these changes in order to compare past reports with those published more recently. For example, an organism might now be known under a different name or what was once described as a single species is now considered to consist of two or more distinct species with different biological characteristics.
Over the years, taxonomists have identified numerous organisms and grouped them together in many different arrangements. Primarily, this has been on the basis of their morphology, and this remains a major feature of taxonomy. Increasingly, morphological studies are complemented by molecular phylogeny, and this is having have a major impact on our understanding of animal relationships, confirming some groupings whilst questioning the validity of many others. However, molecular phylogenetics does not always provide clear evidence of the relationships between species. Consequently, there is often a lack of consistency between texts, and there are frequent rearrangements.
There is some debate about how many kingdoms exist although most modern textbooks refer to six: Archaea, Bacteria, Protista, Fungi, Plantae, Animalia. Parasitic species are common in all the kingdoms but traditionally, parasitologists deal almost exclusively with organisms belonging to the kingdoms Protista and Animalia. Although many prokaryotes (archaeans and bacteria) are parasitic, their study falls within a remit of microbiology. Similarly, parasitic fungi fall within the realm of mycology; parasitic plants are reserve of botany (although, these days, many practitioners prefer the title of plant scientist).